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Employee health care costs have skyrocketed, especially for small business owners. But employers have options that medical entrepreneurs have crafted to provide all businesses with plans to improve their employees' wellness and reduce their costs. Thus, the cost of employee health care benefits can be reduced markedly by choosing one of numerous alternatives to traditional indemnity policies. The finance of health care provides business decision makers with the information they need to match the optimal health care plan with the culture of their workforce. This book is a must guide for corporate executives and entrepreneurs who want to attract—and keep–the best employees in our competitive economy.

"May 1988." ; "B-222052"--p. 1. ; "GAO/HRD-88-27." ; Cover title. ; Mode of access: Internet.

Behind the scenes of health care presents an extensive review of motivation and commitment among health care workers in support and bedside care roles. The publication includes two research studies: (1) motivation andcommitment of support services employees in a health care environmentand (2) the correlation between patient experience feedback and nursing motivation and engagement. Additionally, the publication includestwo case studies: (1) cultural disruption in a health care system and (2) aservice organization review of turnover. Lastly, and most signifcantly, the publication provides a framework and model, The tri-factor model, to assess and measure workplace dynamics of motivation, commitment, and culture that is also applicable to turnover analyses. Readers of Behind the scenes of health care are provided tools to understand motivation, commitment, and cultural components in the contemporary workplace that may be applied to any organization.

The chapter discusses the major historical and legislative actions regarding EAPs. Reprinted with permission from Managed Mental Health Care: Administrative and Clinical Issues, (© 1992), American Psychiatric Association. ; Yes ; Full Text

The growing cost of health care and health insurance have become major public policy issues, since these costs affect governments in several roles: as borrowers in financial markets, as major purchasers of health care, as employers, and—at the state and local level—as payers of last resort. This paper reviews various public policy initiatives that are part of the government's concern about health care costs: proposals to reduce tax preferences for employer contributions to health insurance; changes in public employee group health insurance plans to contain cost; and emerging public policy toward the growing problem of health care indigency. Although public-employee health insurance plans are only one source of health care costs for government, government responses to other sources of health care costs may also affect public employee plans.

Introduction: Line mangers' and employees, registered nurses and assistant nurses', in health care often have a demanding work situation. Sick leave illness and lack of competent staff is a problem. There is a lack of studies on working conditions, such as flexibility and restricted control, from an organizational perspective, (i.e. working conditions formed on a higher level aiming to influence the whole organization) with health care organizations in explicit focus. Aim: The overall aim was to expand knowledge about how working conditions with specific focus on flexibility and restricted control over work, impact on health and work performance among first and second line managers and employees within health care. In Study I the aim was to generate knowledgeabout the importance of adjustment latitude at work and at home for return to work or regaining work ability for female HSO workers on long-term sick leave. In Study II, the aim was to investigate how restricted decision-making autonomy and conflicting demands impact operational managers' work performance and health. In Study III, the aim was to examine the associations between managerial work performance and self-rated health or burnout among first line nurse managers. In Study IV, the aim was to identify first line managers' approaches for maintaining low levels of sick leave among healthcare employees. Method: Both qualitative and quantitative methods have been used. Studies I–III employed a quantitative longitudinal design of questionnaire data. In Study I, data from a 6-year study was used. Study II is based on data collected at two points in time, approximately one year apart. The analyses in Study III were performed using data from three points in time, approximately one year apart. Study IV, used a qualitative approach in analyses of interviews with first line managers responsible for units with low sick leave among the employees. Results: The results show the importance of having working conditions that allowed for a flexible work situation and a ...

Self-insurance is a popular way to fund employee health benefits, but it presents a potential barrier to state health insurance reform initiatives because self-insured health plans are able to avoid state regulation. Thus it is important to understand why employers self-insure. This study tests an explanatory model of self-insurance, using data from the 1989 Survey of Health Insurance Plans. Models predicting self-insurance are estimated for private employers and for all health plan sponsors, including public employers, unions, and trade associations. The author found a threshold for self-insuring among private employers at about 100 employees and another at about 200 workers when all health plan sponsors were considered. Plans with union members are more likely to be self-insured. Self-insurance is more likely in the presence of alcohol treatment mandates but less likely with mental health mandates.